Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2025; 13(5): 98081
Published online Feb 16, 2025. doi: 10.12998/wjcc.v13.i5.98081
Rethinking the diagnosis and treatment of renal anastomotic hemangioma after partial nephrectomy
Yun-Peng Guo, Gaurab Pokhrel, Yu-Yang Wang, Quan Wen, Gai Hang, Bo Chen
Yun-Peng Guo, Yu-Yang Wang, Tongliao Clinical Medical College, Inner Mongolia Medical University, Tongliao 028000, Inner Mongolia Autonomous Region, China
Gaurab Pokhrel, First Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou 450000, Henan Province, China
Quan Wen, Gai Hang, Bo Chen, Department of Urinary Surgery, Tongliao City Hospital, Tongliao 028000, Inner Mongolia Autonomous Region, China
Co-first authors: Yun-Peng Guo and Gaurab Pokhrel.
Author contributions: Guo YP and Pokhrel G drafted this manuscript, they are contributed equally to this manuscript; Guo YP and Wang YY generated the study concept and designed the study; Wen Q and Hang G performed the research; Chen B revised the manuscript. All authors read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bo Chen, MD, PhD, Department of Urinary Surgery, Tongliao City Hospital, No. 668 Horqin Street, Horqin District, Tongliao 028000, Inner Mongolia Autonomous Region, China. chenmuxin@126.com
Received: June 17, 2024
Revised: October 14, 2024
Accepted: November 4, 2024
Published online: February 16, 2025
Processing time: 154 Days and 16.6 Hours
Abstract

Renal anastomotic hemangioma (AH) is a rare, benign vascular tumor with unique histopathological features, a disease that is clinically rare, and existing clinical cases offer different treatment options. As reported in the text, this is a very unusual case of renal AH with AH secondary to residual renal tissue after renal clear cell carcinoma, describing a rare renal AH and a history of renal clear cell carcinoma, including ultrasound, computed tomography and magnetic resonance imaging. However, the available imaging data and the literature do not provide an effective basis for the diagnosis of the disease, raising the lack of understanding and misdiagnosis, where the patient eventually underwent nephrectomy, but the author is not the most appropriate surgical treatment. The postoperative pathological results of the patient are benign lesions, and it is undeniable that nephrectomy is suspected to be overtreated. By reading the literature, we provide different insights into the treatment of the patient, and we hope that this paper can provide some help for the future clinical diagnosis and treatment.

Keywords: Anastomotic hemangioma; Renal; Ultrasound; Computed tomography; Case report

Core Tip: As a rare benign disease, renal anastomotic hemangioma has a small number of cases and a difficult diagnosis. Clinicians should be fully aware of the bed features and imaging characteristics of anastomotic hemangioma to facilitate accurate diagnosis and differentiation of diseases and avoid overtreatment.